| NPI | 1144390147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN LOPEZ Hhs Director 915-858-1076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0904X Clinic/Center, Public Health, Federal |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: TX 17718) |
| 261Q00000X Clinic/Center | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 1603-1603A) | |
| 343800000X Secured Medical Transport (VAN) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2024-05-29 |